Individual provider Active NPI

Patricia Dale Collins-Young, CRNA

  • Certified Registered Nurse Anesthetist
  • Douglas, GA
National Provider Identifier
1619933975
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN-CRNA050943 Issued in GA
Practice address
1101 Ocilla Rd
Douglas, GA 31533-2207
Phone
(800) 232-5703
NPI assigned
Apr 25, 2006
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN-CRNA050943 GA Primary

Addresses

Primary practice location

1101 Ocilla Rd
Douglas, GA 31533-2207

Mailing address

210 Camellia Ave
Douglas, GA 31533-3276
Phone (912) 381-7595

Other identifiers 1

IdentifierTypeStateIssuer
000776036EMedicaidGA

Other names 1

  • Patricia Dale Collins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701000652 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325025992 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Irwin County HospitalGroup PAC ID 7618950643, 8 clinicians

Practice addresses (Care Compare)

710 N Irwin Ave
Ocilla, GA 31774-5011
Phone 22946838003846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
050943GAMDInternal Medicine Physician
APRN-CRNA050943GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lala Land Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 6, 2022 Accepting new patients
Guardian Medical Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 23, 2025 Accepting new patients
Irwin County Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2011 Accepting new patients
Coffee Regional Medical Center, Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 15, 2004 Accepting new patients
Hospital Authority of Jeff Davis County Georgia CurrentSince Apr 1, 2022 Accepting new patients
Coffee Regional Medical Center, Inc CurrentSince Mar 15, 2004 Accepting new patients
Irwin County Hospital CurrentSince May 26, 2024 Accepting new patients
Southern Sleepers Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2017 Accepting new patients
Hospital Authority of Jeff Davis County Georgia CurrentSince Apr 1, 2022 Accepting new patients
Hospital Authority of Jeff Davis County Georgia Current Accepting new patients
Middle Georgia Anesthesia Associates, PC Past Accepting new patients
Rockdale Anesthesia Services, P.C. PastSince Mar 1, 2003 Accepting new patients
Coffee Regional Medical Center, Inc Past Accepting new patients

Locations

1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641

300 Shirley Ave
Douglas, GA 31533
Phone (912) 384-7275

326 Shirley Ave
Douglas, GA 31533
Phone (404) 606-2069

163 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-7781

710 N Irwin Ave
Ocilla, GA 31774
Phone (229) 468-3800

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

1948 Old Ocilla Rd
Ste B
Tifton, GA 31794
Phone (229) 386-5222

2800 N Oak St
Valdosta, GA 31602
Phone (229) 244-1211

4120 N Valdosta Rd
Ste B
Valdosta, GA 31602
Phone (229) 244-2068

4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1619933975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CAMELLIA AVE",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315333276",
            "telephone_number": "912-381-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 OCILLA RD",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332207",
            "telephone_number": "800-232-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS-YOUNG",
        "first_name": "PATRICIA",
        "middle_name": "DALE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "APRN-CRNA050943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000776036E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "COLLINS",
            "middle_name": "DALE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Douglas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.